G A L E N CO L L E G E O F N U R S I N G
Bachelor of Science in Nursing (BSN)
NSG 3130 Fundamental Concepts & Skills for Nursing Practice II
Academic Year: 2026/2027 Exam 2 · Comprehensive Question Bank
Question 1 NCLEX
A patient is prescribed to use crutches for ambulation and can bear partial weight.
Which description best describes the two-point gait with crutches?
A. Both crutches and injured leg move forward together, then non-injured leg
B. Right crutch (injured side) and left foot (non-injured side) move forward together,
then left crutch and right foot together
C. Both crutches forward, then both legs forward to the same point
D. One crutch at a time, then each foot alternately
CORRECT ANSWER:
B. Right crutch (injured side) and left foot (non-injured side) move forward
together, then left crutch and right foot together
RATIONALE: Correct: B. The two-point gait involves moving the crutch and opposite foot
together in a diagonal pattern. A. This describes three-point gait. C. This describes swing-
to. D. This describes four-point gait.
,Question 2 NCLEX
While ambulating with crutches, a patient moves both crutches forward along with the
injured leg and then moves the non-injured leg forward. Which gait is the patient
using?
A. Two-point gait
B. Three-point gait
C. Four-point gait
D. Swing-through gait
CORRECT ANSWER: B. Three-point gait
RATIONALE: Correct: B. Three-point gait involves moving both crutches and the injured
leg forward together, then the non-injured leg. A. Two-point involves diagonal movement.
C. Four-point involves one crutch at a time. D. Swing-through involves both legs past the
crutches.
Question 3 NCLEX
While using crutches, a patient moves both crutches forward and then moves both legs
forward past the placement of the crutches. This is known as:
A. Two-point gait
B. Swing-to gait
C. Swing-through gait
D. Three-point gait
CORRECT ANSWER: C. Swing-through gait
RATIONALE: Correct: C. Swing-through gait involves moving both legs past the crutches.
B. Swing-to moves legs to the same point as the crutches. A, D. These involve different
movement patterns.
,Question 4 NCLEX
When going down the stairs with crutches, the patient moves the crutches down onto
the step followed by which action?
A. Moving the non-injured leg down
B. Moving the injured leg down
C. Moving both legs down together
D. Moving the crutches again
CORRECT ANSWER: B. Moving the injured leg down
RATIONALE: Correct: B. "Down with the bad." The injured leg goes first when going
down stairs. A. The non-injured leg goes first when going up. C, D. These are incorrect.
Question 5 NCLEX
To go up the stairs with crutches, the patient should move which body part first?
A. The crutches
B. The injured leg
C. The non-injured leg
D. Both legs together
CORRECT ANSWER: C. The non-injured leg
RATIONALE: Correct: C. "Up with the good." The non-injured leg goes first when going
up stairs. A, B, D. These are incorrect.
, Question 6 NCLEX
A patient attempting to sit in a chair with crutches places both crutches on the non-
injured side. What action should the nurse take?
A. Praise the patient for correct technique
B. Re-educate the patient to place crutches on the injured side
C. Re-educate the patient to place crutches in front of the chair
D. Allow the patient to continue as this is acceptable
CORRECT ANSWER: B. Re-educate the patient to place crutches on the injured side
RATIONALE: Correct: B. Crutches should be placed on the injured side for weight
support. A, D. This is incorrect technique. C. This is not the correct placement.
Question 7 NCLEX
A patient will be using crutches for mobility. What findings demonstrate that the
crutches were adjusted correctly? Select all that apply.
A. Hand grips are even with the mid-forearm
B. Elbow bends at about 30 degrees when gripping hand grips
C. 2-3 finger width between axillae and crutch rest pad
D. Patient places weight on axillae rather than hands while ambulating
CORRECT ANSWER:
B and C. Elbow bends at 30 degrees; 2-3 finger width between axillae and crutch
pad
RATIONALE: Correct: B and C. Properly fitted crutches have a 2-3 finger width between
axillae and pads, and elbows bend at 30 degrees. A. Hand grips should be at hip level. D.
Weight should be on hands, not axillae.
Bachelor of Science in Nursing (BSN)
NSG 3130 Fundamental Concepts & Skills for Nursing Practice II
Academic Year: 2026/2027 Exam 2 · Comprehensive Question Bank
Question 1 NCLEX
A patient is prescribed to use crutches for ambulation and can bear partial weight.
Which description best describes the two-point gait with crutches?
A. Both crutches and injured leg move forward together, then non-injured leg
B. Right crutch (injured side) and left foot (non-injured side) move forward together,
then left crutch and right foot together
C. Both crutches forward, then both legs forward to the same point
D. One crutch at a time, then each foot alternately
CORRECT ANSWER:
B. Right crutch (injured side) and left foot (non-injured side) move forward
together, then left crutch and right foot together
RATIONALE: Correct: B. The two-point gait involves moving the crutch and opposite foot
together in a diagonal pattern. A. This describes three-point gait. C. This describes swing-
to. D. This describes four-point gait.
,Question 2 NCLEX
While ambulating with crutches, a patient moves both crutches forward along with the
injured leg and then moves the non-injured leg forward. Which gait is the patient
using?
A. Two-point gait
B. Three-point gait
C. Four-point gait
D. Swing-through gait
CORRECT ANSWER: B. Three-point gait
RATIONALE: Correct: B. Three-point gait involves moving both crutches and the injured
leg forward together, then the non-injured leg. A. Two-point involves diagonal movement.
C. Four-point involves one crutch at a time. D. Swing-through involves both legs past the
crutches.
Question 3 NCLEX
While using crutches, a patient moves both crutches forward and then moves both legs
forward past the placement of the crutches. This is known as:
A. Two-point gait
B. Swing-to gait
C. Swing-through gait
D. Three-point gait
CORRECT ANSWER: C. Swing-through gait
RATIONALE: Correct: C. Swing-through gait involves moving both legs past the crutches.
B. Swing-to moves legs to the same point as the crutches. A, D. These involve different
movement patterns.
,Question 4 NCLEX
When going down the stairs with crutches, the patient moves the crutches down onto
the step followed by which action?
A. Moving the non-injured leg down
B. Moving the injured leg down
C. Moving both legs down together
D. Moving the crutches again
CORRECT ANSWER: B. Moving the injured leg down
RATIONALE: Correct: B. "Down with the bad." The injured leg goes first when going
down stairs. A. The non-injured leg goes first when going up. C, D. These are incorrect.
Question 5 NCLEX
To go up the stairs with crutches, the patient should move which body part first?
A. The crutches
B. The injured leg
C. The non-injured leg
D. Both legs together
CORRECT ANSWER: C. The non-injured leg
RATIONALE: Correct: C. "Up with the good." The non-injured leg goes first when going
up stairs. A, B, D. These are incorrect.
, Question 6 NCLEX
A patient attempting to sit in a chair with crutches places both crutches on the non-
injured side. What action should the nurse take?
A. Praise the patient for correct technique
B. Re-educate the patient to place crutches on the injured side
C. Re-educate the patient to place crutches in front of the chair
D. Allow the patient to continue as this is acceptable
CORRECT ANSWER: B. Re-educate the patient to place crutches on the injured side
RATIONALE: Correct: B. Crutches should be placed on the injured side for weight
support. A, D. This is incorrect technique. C. This is not the correct placement.
Question 7 NCLEX
A patient will be using crutches for mobility. What findings demonstrate that the
crutches were adjusted correctly? Select all that apply.
A. Hand grips are even with the mid-forearm
B. Elbow bends at about 30 degrees when gripping hand grips
C. 2-3 finger width between axillae and crutch rest pad
D. Patient places weight on axillae rather than hands while ambulating
CORRECT ANSWER:
B and C. Elbow bends at 30 degrees; 2-3 finger width between axillae and crutch
pad
RATIONALE: Correct: B and C. Properly fitted crutches have a 2-3 finger width between
axillae and pads, and elbows bend at 30 degrees. A. Hand grips should be at hip level. D.
Weight should be on hands, not axillae.
